Accepted for/Published in: Journal of Participatory Medicine
Date Submitted: Dec 12, 2024
Date Accepted: May 13, 2025
Date Submitted to PubMed: May 14, 2025
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Digital Framework to Support a Shared Agenda at Surgical Ward Rounds: Participatory Design Study
ABSTRACT
Background:
Surgical ward rounds (SWRs) are often unstructured and deprioritized compared to traditional surgical tasks, leading to limited interdisciplinary collaboration, unprepared patients, and low family attendance.
Objective:
This study aimed to design and develop a digital framework to facilitate a shared agenda for SWRs, ensuring all core participants can attend and participate effectively.
Methods:
Participatory design methodologies were employed, utilizing user-engaging activities within an iterative process. A multidisciplinary team, including patients, relatives, healthcare providers, technology designers, and researchers, collaborated in workshops and testing to translate user needs into prototypes of technologies consisting of the digital framework.
Results:
A logistics system was developed for nurses to pre-book the SWRs in designated time slots, enabling them to prepare relevant data and partake in the dialogue with patients. Additionally, a mobile Health app displayed the schedule for patients and relatives, helping them to participate and prepare questions in advance. Multiple iterations ensured that the digital framework met user needs and was feasible for clinical practice.
Conclusions:
Our findings underscore the importance of collaboration between users and technology designers in developing digital health technologies. Engaging the users helped identify organizational challenges that needed to be addressed to integrate the digital framework into clinical settings.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.